Sample Record
Owner Lab
- Structure Cast
DIME Sample ID 2022-11-17-40
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215374 DEA: 060X2704 EFIS: 0618000048 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-5-37.2/48.8 |
| Award Date | 05/11/2022 |
| Closeout Date | Not set |
| Work Description | PAVEMENT REHABILITATION |
| Location Description | FROM 1.9 MILES NORTH OF THREE ROCKS ROAD UC TO 0.2 MILES SOUTH OF PANOCHE ROAD OC |
| QA Service Level | 1 (Verified on 12/16/2020) |
Sample Information
| Sample Taken Date | 11/17/2022 | Sample Unique Key | 40 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 11/18/2022 |
| Sample type | Quality Control | A brief description of the sample | Concrete Test Samples |
| The quantity of what the sample constitutes | 9 CY | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Foley |
| Title of sampler | Quality Control Manager | Telephone number of sampler | 6618334490 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | StructureCast | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 06-0X2704 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 7552 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from truck into wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-17-40-1 ASTM C39-18 (Verified)